State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Virginia by County

All Cancer Sites (All Stages^), 2014-2018

White Non-Hispanic, Both Sexes, All Ages

Sorted by Rate

Explanation of Column Headers

Objective - The objective of *** is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Recent Trends - This is an interpretation of the AAPC/APC:

• Rising when 95% confidence interval of AAPC/APC is above 0.
• Stable when 95% confidence interval of AAPC/APC includes 0.
• Falling when 95% confidence interval of AAPC/APC is below 0.

AAPC/APC (95% Confidence Interval) - the change in rate over time

• Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
• Annual Percent Change - APCs calculated in SEER*Stat.

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Virginia⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 416.8 with a 95% confidence interval from 414.6 to 419.0 and 29,360 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 to -1.1.

US (SEER+NPCR) § ¹

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 466.2 with a 95% confidence interval from 465.9 to 466.6 and 1,293,942 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.6.

Petersburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 792.7 with a 95% confidence interval from 699.3 to 896.9 and 61 average annual cases over 2014-2018.
• CI*Rank⋔ : 1 (1, 5)
• Recent Trend : The trend is rising because the trend is 3.2 with a 95% confidence interval from 0.8 to 5.7.

Lexington City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 758.3 with a 95% confidence interval from 651.9 to 878.6 and 46 average annual cases over 2014-2018.
• CI*Rank⋔ : 2 (1, 10)
• Recent Trend : The trend is rising because the trend is 29.2 with a 95% confidence interval from 3.7 to 60.9.

Richmond County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 641.7 with a 95% confidence interval from 564.1 to 728.7 and 57 average annual cases over 2014-2018.
• CI*Rank⋔ : 3 (1, 23)
• Recent Trend : The trend is rising because the trend is 24.2 with a 95% confidence interval from 1.4 to 52.2.

Galax City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 635.6 with a 95% confidence interval from 556.2 to 724.8 and 51 average annual cases over 2014-2018.
• CI*Rank⋔ : 4 (1, 25)
• Recent Trend : The trend is rising because the trend is 21.3 with a 95% confidence interval from 0.6 to 46.3.

Covington City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 631.6 with a 95% confidence interval from 545.0 to 729.2 and 42 average annual cases over 2014-2018.
• CI*Rank⋔ : 5 (1, 32)
• Recent Trend : The trend is rising because the trend is 8.0 with a 95% confidence interval from 5.9 to 10.2.

Waynesboro City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 624.5 with a 95% confidence interval from 579.5 to 672.4 and 153 average annual cases over 2014-2018.
• CI*Rank⋔ : 6 (2, 14)
• Recent Trend : The trend is rising because the trend is 14.1 with a 95% confidence interval from 4.3 to 24.8.

Franklin City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 612.4 with a 95% confidence interval from 514.0 to 727.6 and 34 average annual cases over 2014-2018.
• CI*Rank⋔ : 7 (1, 51)
• Recent Trend : The trend is stable because the trend is 21.8 with a 95% confidence interval from -8.1 to 61.5.

Staunton City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 594.6 with a 95% confidence interval from 554.4 to 637.3 and 182 average annual cases over 2014-2018.
• CI*Rank⋔ : 8 (3, 18)
• Recent Trend : The trend is rising because the trend is 11.6 with a 95% confidence interval from 2.1 to 21.9.

Martinsville City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 585.4 with a 95% confidence interval from 515.1 to 664.1 and 61 average annual cases over 2014-2018.
• CI*Rank⋔ : 9 (2, 40)
• Recent Trend : The trend is stable because the trend is 19.7 with a 95% confidence interval from -2.2 to 46.5.

Hopewell City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 568.2 with a 95% confidence interval from 515.9 to 624.9 and 96 average annual cases over 2014-2018.
• CI*Rank⋔ : 10 (3, 37)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.2 to 2.4.

Sussex County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 553.4 with a 95% confidence interval from 473.3 to 645.2 and 37 average annual cases over 2014-2018.
• CI*Rank⋔ : 11 (3, 83)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.2 to 2.5.

Fredericksburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 544.7 with a 95% confidence interval from 495.7 to 597.3 and 96 average annual cases over 2014-2018.
• CI*Rank⋔ : 12 (4, 46)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.5 to 0.7.

Colonial Heights City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 542.3 with a 95% confidence interval from 494.9 to 593.4 and 111 average annual cases over 2014-2018.
• CI*Rank⋔ : 13 (4, 53)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from 0.0 to 1.9.

Highland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 533.4 with a 95% confidence interval from 419.8 to 675.6 and 22 average annual cases over 2014-2018.
• CI*Rank⋔ : 14 (2, 118)
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.7 to 4.7.

Essex County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 531.3 with a 95% confidence interval from 467.9 to 602.7 and 59 average annual cases over 2014-2018.
• CI*Rank⋔ : 15 (4, 81)
• Recent Trend : The trend is rising because the trend is 3.8 with a 95% confidence interval from 1.3 to 6.3.

Surry County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 530.2 with a 95% confidence interval from 436.1 to 640.9 and 27 average annual cases over 2014-2018.
• CI*Rank⋔ : 16 (2, 109)
• Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from 0.0 to 5.3.

Northampton County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 530.0 with a 95% confidence interval from 466.0 to 602.2 and 68 average annual cases over 2014-2018.
• CI*Rank⋔ : 17 (3, 78)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.1.

Gloucester County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 522.9 with a 95% confidence interval from 492.1 to 555.3 and 235 average annual cases over 2014-2018.
• CI*Rank⋔ : 18 (9, 44)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.4 to 1.2.

Williamsburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 520.8 with a 95% confidence interval from 462.3 to 586.2 and 68 average annual cases over 2014-2018.
• CI*Rank⋔ : 19 (5, 78)
• Recent Trend : The trend is rising because the trend is 13.7 with a 95% confidence interval from 0.7 to 28.4.

Roanoke City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 516.6 with a 95% confidence interval from 494.2 to 540.0 and 438 average annual cases over 2014-2018.
• CI*Rank⋔ : 20 (11, 40)
• Recent Trend : The trend is rising because the trend is 9.6 with a 95% confidence interval from 2.5 to 17.1.

Danville City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 514.8 with a 95% confidence interval from 475.1 to 557.4 and 163 average annual cases over 2014-2018.
• CI*Rank⋔ : 21 (8, 63)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.5 to 2.0.

Bath County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 511.7 with a 95% confidence interval from 432.9 to 603.6 and 35 average annual cases over 2014-2018.
• CI*Rank⋔ : 22 (3, 104)
• Recent Trend : The trend is stable because the trend is 11.3 with a 95% confidence interval from -0.4 to 24.2.

Salem City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 510.2 with a 95% confidence interval from 473.3 to 549.6 and 156 average annual cases over 2014-2018.
• CI*Rank⋔ : 23 (10, 62)
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from 0.0 to 3.2.

Prince Edward County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 505.1 with a 95% confidence interval from 453.1 to 561.8 and 79 average annual cases over 2014-2018.
• CI*Rank⋔ : 24 (6, 84)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.1 to 1.3.

Portsmouth City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 500.2 with a 95% confidence interval from 471.8 to 529.9 and 252 average annual cases over 2014-2018.
• CI*Rank⋔ : 25 (12, 57)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.8.

Amelia County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 499.6 with a 95% confidence interval from 444.6 to 560.1 and 66 average annual cases over 2014-2018.
• CI*Rank⋔ : 26 (8, 91)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.2 to 1.7.

Buena Vista City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 496.5 with a 95% confidence interval from 427.9 to 573.9 and 39 average annual cases over 2014-2018.
• CI*Rank⋔ : 27 (5, 106)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.0 to 2.4.

Greensville County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 492.9 with a 95% confidence interval from 416.6 to 581.7 and 31 average annual cases over 2014-2018.
• CI*Rank⋔ : 28 (5, 110)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.3 to 2.8.

New Kent County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 492.2 with a 95% confidence interval from 449.7 to 538.0 and 113 average annual cases over 2014-2018.
• CI*Rank⋔ : 29 (10, 82)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.9 to 0.7.

Virginia Beach City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 486.9 with a 95% confidence interval from 476.3 to 497.6 and 1,701 average annual cases over 2014-2018.
• CI*Rank⋔ : 30 (22, 49)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.6 to 1.2.

King William County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 486.5 with a 95% confidence interval from 436.8 to 540.5 and 75 average annual cases over 2014-2018.
• CI*Rank⋔ : 31 (9, 97)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.3 to 0.5.

Mecklenburg County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 484.5 with a 95% confidence interval from 447.2 to 524.6 and 159 average annual cases over 2014-2018.
• CI*Rank⋔ : 32 (12, 83)
• Recent Trend : The trend is rising because the trend is 1.5 with a 95% confidence interval from 0.5 to 2.5.

Mathews County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 484.1 with a 95% confidence interval from 427.4 to 547.8 and 70 average annual cases over 2014-2018.
• CI*Rank⋔ : 33 (8, 102)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.9 to 2.2.

Lynchburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 484.0 with a 95% confidence interval from 457.3 to 512.0 and 276 average annual cases over 2014-2018.
• CI*Rank⋔ : 34 (16, 68)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.7 to 1.7.

Goochland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 483.4 with a 95% confidence interval from 443.8 to 526.0 and 130 average annual cases over 2014-2018.
• CI*Rank⋔ : 35 (12, 86)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.5.

Nottoway County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 483.1 with a 95% confidence interval from 428.9 to 543.1 and 63 average annual cases over 2014-2018.
• CI*Rank⋔ : 36 (9, 97)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.1 to 1.6.

Chesapeake City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 480.5 with a 95% confidence interval from 465.2 to 496.2 and 791 average annual cases over 2014-2018.
• CI*Rank⋔ : 37 (22, 56)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.5.

Caroline County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 480.1 with a 95% confidence interval from 440.7 to 522.2 and 116 average annual cases over 2014-2018.
• CI*Rank⋔ : 38 (12, 86)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.6 to 1.1.

Charlottesville City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 476.2 with a 95% confidence interval from 440.7 to 513.8 and 142 average annual cases over 2014-2018.
• CI*Rank⋔ : 39 (14, 86)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.8 to 2.2.

Norfolk City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 475.8 with a 95% confidence interval from 457.3 to 494.8 and 541 average annual cases over 2014-2018.
• CI*Rank⋔ : 40 (21, 66)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.2 to 0.8.

Hampton City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 475.0 with a 95% confidence interval from 451.7 to 499.2 and 342 average annual cases over 2014-2018.
• CI*Rank⋔ : 41 (20, 72)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.2.

Louisa County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 474.4 with a 95% confidence interval from 443.0 to 507.8 and 188 average annual cases over 2014-2018.
• CI*Rank⋔ : 42 (16, 83)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.6.

Brunswick County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 474.0 with a 95% confidence interval from 415.9 to 539.6 and 56 average annual cases over 2014-2018.
• CI*Rank⋔ : 43 (9, 105)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.6 to 0.7.

Charles City County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 472.9 with a 95% confidence interval from 380.8 to 583.6 and 22 average annual cases over 2014-2018.
• CI*Rank⋔ : 44 (4, 125)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -3.2 to 3.1.

Southampton County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 472.5 with a 95% confidence interval from 424.6 to 525.0 and 77 average annual cases over 2014-2018.
• CI*Rank⋔ : 45 (12, 101)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.5 to 2.8.

Nelson County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 470.1 with a 95% confidence interval from 425.6 to 518.8 and 100 average annual cases over 2014-2018.
• CI*Rank⋔ : 46 (12, 102)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.8 to 0.3.

Accomack County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 466.6 with a 95% confidence interval from 432.1 to 503.7 and 172 average annual cases over 2014-2018.
• CI*Rank⋔ : 47 (17, 90)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.1 to 1.3.

Suffolk City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 466.3 with a 95% confidence interval from 441.1 to 492.7 and 270 average annual cases over 2014-2018.
• CI*Rank⋔ : 48 (22, 81)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.9 to 1.0.

Orange County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 464.7 with a 95% confidence interval from 435.0 to 496.2 and 200 average annual cases over 2014-2018.
• CI*Rank⋔ : 49 (20, 88)
• Recent Trend : The trend is stable because the trend is 5.1 with a 95% confidence interval from -1.0 to 11.6.

Charlotte County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 463.1 with a 95% confidence interval from 407.8 to 524.6 and 58 average annual cases over 2014-2018.
• CI*Rank⋔ : 50 (10, 108)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.6 to 2.3.

Prince George County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 462.1 with a 95% confidence interval from 426.5 to 500.1 and 131 average annual cases over 2014-2018.
• CI*Rank⋔ : 51 (17, 97)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.4.

Fluvanna County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 461.6 with a 95% confidence interval from 426.5 to 499.0 and 140 average annual cases over 2014-2018.
• CI*Rank⋔ : 52 (17, 97)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.2.

Westmoreland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 460.6 with a 95% confidence interval from 415.8 to 509.8 and 96 average annual cases over 2014-2018.
• CI*Rank⋔ : 53 (14, 104)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.6 to 0.8.

Harrisonburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 458.8 with a 95% confidence interval from 424.7 to 495.1 and 145 average annual cases over 2014-2018.
• CI*Rank⋔ : 54 (19, 96)
• Recent Trend : The trend is stable because the trend is 10.6 with a 95% confidence interval from -2.2 to 25.0.

Middlesex County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 457.9 with a 95% confidence interval from 405.4 to 516.8 and 77 average annual cases over 2014-2018.
• CI*Rank⋔ : 55 (12, 108)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.3 to 2.4.

Henrico County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 455.1 with a 95% confidence interval from 442.8 to 467.7 and 1,122 average annual cases over 2014-2018.
• CI*Rank⋔ : 56 (37, 74)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.2.

Giles County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 454.5 with a 95% confidence interval from 415.0 to 497.1 and 107 average annual cases over 2014-2018.
• CI*Rank⋔ : 57 (17, 104)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.0 to 0.5.

Hanover County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 451.6 with a 95% confidence interval from 434.0 to 469.8 and 531 average annual cases over 2014-2018.
• CI*Rank⋔ : 58 (33, 84)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.3.

Newport News City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 449.6 with a 95% confidence interval from 430.7 to 469.1 and 457 average annual cases over 2014-2018.
• CI*Rank⋔ : 59 (35, 86)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.1.

Halifax County with South Boston City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 448.7 with a 95% confidence interval from 415.8 to 483.8 and 158 average annual cases over 2014-2018.
• CI*Rank⋔ : 60 (23, 101)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from 0.0 to 2.7.

James City County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 447.5 with a 95% confidence interval from 427.4 to 468.5 and 448 average annual cases over 2014-2018.
• CI*Rank⋔ : 61 (33, 89)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.0 to -0.5.

Radford City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 446.6 with a 95% confidence interval from 391.9 to 507.0 and 50 average annual cases over 2014-2018.
• CI*Rank⋔ : 62 (14, 116)
• Recent Trend : The trend is stable because the trend is 12.7 with a 95% confidence interval from -7.8 to 37.8.

Spotsylvania County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 444.6 with a 95% confidence interval from 426.8 to 463.0 and 496 average annual cases over 2014-2018.
• CI*Rank⋔ : 63 (39, 88)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.9 to -0.9.

Poquoson City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 444.3 with a 95% confidence interval from 397.3 to 495.9 and 70 average annual cases over 2014-2018.
• CI*Rank⋔ : 64 (16, 111)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.4 to 0.5.

Emporia City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 443.3 with a 95% confidence interval from 325.7 to 597.1 and 13 average annual cases over 2014-2018.
• CI*Rank⋔ : 65 (3, 128)
• Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -5.8 to 0.3.

King and Queen County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 442.5 with a 95% confidence interval from 371.4 to 525.0 and 32 average annual cases over 2014-2018.
• CI*Rank⋔ : 66 (10, 125)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.9 to 2.0.

Chesterfield County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 441.9 with a 95% confidence interval from 430.6 to 453.4 and 1,259 average annual cases over 2014-2018.
• CI*Rank⋔ : 67 (48, 84)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Page County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 441.0 with a 95% confidence interval from 408.3 to 475.8 and 147 average annual cases over 2014-2018.
• CI*Rank⋔ : 68 (26, 103)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.1 to 1.2.

Stafford County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 439.9 with a 95% confidence interval from 420.9 to 459.6 and 432 average annual cases over 2014-2018.
• CI*Rank⋔ : 69 (42, 93)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.4.

Rockingham County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 435.9 with a 95% confidence interval from 417.1 to 455.4 and 438 average annual cases over 2014-2018.
• CI*Rank⋔ : 70 (44, 94)
• Recent Trend : The trend is stable because the trend is -5.6 with a 95% confidence interval from -13.0 to 2.5.

Culpeper County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 434.9 with a 95% confidence interval from 408.0 to 463.2 and 207 average annual cases over 2014-2018.
• CI*Rank⋔ : 71 (34, 101)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.5 to -0.3.

Augusta County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 434.7 with a 95% confidence interval from 416.1 to 454.1 and 447 average annual cases over 2014-2018.
• CI*Rank⋔ : 72 (44, 95)
• Recent Trend : The trend is falling because the trend is -8.0 with a 95% confidence interval from -12.8 to -3.0.

Roanoke County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 433.4 with a 95% confidence interval from 416.3 to 451.1 and 537 average annual cases over 2014-2018.
• CI*Rank⋔ : 73 (47, 95)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.1.

Amherst County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 432.5 with a 95% confidence interval from 401.6 to 465.4 and 159 average annual cases over 2014-2018.
• CI*Rank⋔ : 74 (29, 106)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.4 to -0.4.

Bedford City and County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 432.4 with a 95% confidence interval from 413.6 to 451.9 and 450 average annual cases over 2014-2018.
• CI*Rank⋔ : 75 (46, 97)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.8 to 0.5.

Dinwiddie County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 432.1 with a 95% confidence interval from 394.4 to 472.6 and 104 average annual cases over 2014-2018.
• CI*Rank⋔ : 76 (27, 109)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.8 to -0.8.

Winchester City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 432.0 with a 95% confidence interval from 395.2 to 471.6 and 111 average annual cases over 2014-2018.
• CI*Rank⋔ : 77 (26, 108)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

Warren County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 430.3 with a 95% confidence interval from 402.4 to 459.8 and 191 average annual cases over 2014-2018.
• CI*Rank⋔ : 78 (37, 105)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.6.

Wythe County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 428.7 with a 95% confidence interval from 399.7 to 459.4 and 176 average annual cases over 2014-2018.
• CI*Rank⋔ : 79 (38, 106)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.5 to 1.0.

Madison County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 428.2 with a 95% confidence interval from 383.2 to 477.7 and 74 average annual cases over 2014-2018.
• CI*Rank⋔ : 80 (23, 116)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.5 to 0.6.

Isle of Wight County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 425.5 with a 95% confidence interval from 395.0 to 458.0 and 158 average annual cases over 2014-2018.
• CI*Rank⋔ : 81 (40, 108)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.2.

Shenandoah County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 423.4 with a 95% confidence interval from 399.3 to 448.8 and 255 average annual cases over 2014-2018.
• CI*Rank⋔ : 82 (46, 106)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.9 to 1.2.

King George County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 423.2 with a 95% confidence interval from 383.8 to 465.7 and 90 average annual cases over 2014-2018.
• CI*Rank⋔ : 83 (28, 116)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.7 to 0.6.

Manassas City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 421.9 with a 95% confidence interval from 382.9 to 464.0 and 93 average annual cases over 2014-2018.
• CI*Rank⋔ : 84 (29, 113)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.6 to -0.8.

Falls Church City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 418.9 with a 95% confidence interval from 365.4 to 478.3 and 48 average annual cases over 2014-2018.
• CI*Rank⋔ : 85 (20, 124)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.9 to 0.6.

Pulaski County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 417.0 with a 95% confidence interval from 390.4 to 445.2 and 204 average annual cases over 2014-2018.
• CI*Rank⋔ : 86 (46, 110)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Lancaster County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 416.4 with a 95% confidence interval from 363.7 to 477.7 and 78 average annual cases over 2014-2018.
• CI*Rank⋔ : 87 (21, 124)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.3 to 1.6.

Appomattox County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 414.3 with a 95% confidence interval from 370.4 to 462.5 and 72 average annual cases over 2014-2018.
• CI*Rank⋔ : 88 (31, 118)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.4 to 1.1.

Lunenburg County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 413.8 with a 95% confidence interval from 360.2 to 474.4 and 49 average annual cases over 2014-2018.
• CI*Rank⋔ : 89 (24, 125)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.2 to 1.4.

Craig County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 413.2 with a 95% confidence interval from 346.6 to 490.5 and 32 average annual cases over 2014-2018.
• CI*Rank⋔ : 90 (15, 126)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -1.6 to 3.8.

Greene County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 413.0 with a 95% confidence interval from 374.1 to 455.1 and 89 average annual cases over 2014-2018.
• CI*Rank⋔ : 91 (31, 120)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.2.

Northumberland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 409.5 with a 95% confidence interval from 362.9 to 463.1 and 88 average annual cases over 2014-2018.
• CI*Rank⋔ : 92 (31, 122)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.1 to 0.5.

Albemarle County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 406.9 with a 95% confidence interval from 389.9 to 424.6 and 473 average annual cases over 2014-2018.
• CI*Rank⋔ : 93 (68, 107)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.1 to -0.8.

Franklin County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 405.9 with a 95% confidence interval from 384.5 to 428.3 and 314 average annual cases over 2014-2018.
• CI*Rank⋔ : 94 (61, 110)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.4.

Buckingham County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 405.0 with a 95% confidence interval from 359.1 to 455.7 and 62 average annual cases over 2014-2018.
• CI*Rank⋔ : 95 (34, 124)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.2 to 1.4.

Fauquier County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 403.7 with a 95% confidence interval from 382.7 to 425.6 and 300 average annual cases over 2014-2018.
• CI*Rank⋔ : 96 (65, 110)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.6 to -0.5.

Botetourt County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 403.4 with a 95% confidence interval from 376.9 to 431.7 and 193 average annual cases over 2014-2018.
• CI*Rank⋔ : 97 (52, 114)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.5 to 1.0.

Alleghany County and Clifton Forge City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 400.2 with a 95% confidence interval from 362.2 to 441.7 and 93 average annual cases over 2014-2018.
• CI*Rank⋔ : 98 (47, 122)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.3 to 0.8.

Campbell County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 399.7 with a 95% confidence interval from 377.4 to 423.0 and 260 average annual cases over 2014-2018.
• CI*Rank⋔ : 99 (63, 113)
• Recent Trend : The trend is stable because the trend is -7.4 with a 95% confidence interval from -16.4 to 2.7.

Powhatan County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 398.0 with a 95% confidence interval from 367.0 to 431.1 and 135 average annual cases over 2014-2018.
• CI*Rank⋔ : 100 (55, 119)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -2.6 to 4.8.

Frederick County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 396.7 with a 95% confidence interval from 378.8 to 415.4 and 388 average annual cases over 2014-2018.
• CI*Rank⋔ : 101 (78, 111)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.3 to -1.3.

Henry County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 395.5 with a 95% confidence interval from 372.1 to 420.3 and 245 average annual cases over 2014-2018.
• CI*Rank⋔ : 102 (68, 115)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.6 to 0.6.

York County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 394.1 with a 95% confidence interval from 372.1 to 417.1 and 253 average annual cases over 2014-2018.
• CI*Rank⋔ : 103 (72, 114)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.9 to -0.6.

Rockbridge County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 392.8 with a 95% confidence interval from 361.9 to 426.1 and 139 average annual cases over 2014-2018.
• CI*Rank⋔ : 104 (59, 120)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.3 to 0.2.

Floyd County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 387.7 with a 95% confidence interval from 349.4 to 429.5 and 85 average annual cases over 2014-2018.
• CI*Rank⋔ : 105 (51, 124)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.7 to 0.8.

Montgomery County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 377.7 with a 95% confidence interval from 358.8 to 397.4 and 316 average annual cases over 2014-2018.
• CI*Rank⋔ : 106 (88, 119)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.5.

Clarke County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 377.3 with a 95% confidence interval from 336.8 to 421.8 and 72 average annual cases over 2014-2018.
• CI*Rank⋔ : 107 (51, 126)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.2 to -0.6.

Norton City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 372.0 with a 95% confidence interval from 296.4 to 462.6 and 18 average annual cases over 2014-2018.
• CI*Rank⋔ : 108 (23, 129)
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.3 to -1.2.

Richmond City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 370.0 with a 95% confidence interval from 352.5 to 388.1 and 378 average annual cases over 2014-2018.
• CI*Rank⋔ : 109 (94, 121)
• Recent Trend : The trend is falling because the trend is -8.7 with a 95% confidence interval from -16.3 to -0.5.

Grayson County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 368.9 with a 95% confidence interval from 332.2 to 409.2 and 86 average annual cases over 2014-2018.
• CI*Rank⋔ : 110 (72, 126)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.3 to -0.1.

Loudoun County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 367.7 with a 95% confidence interval from 356.2 to 379.5 and 828 average annual cases over 2014-2018.
• CI*Rank⋔ : 111 (101, 119)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.5 to -1.1.

Prince William County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 364.3 with a 95% confidence interval from 353.0 to 375.9 and 834 average annual cases over 2014-2018.
• CI*Rank⋔ : 112 (103, 120)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -3.9 to -1.9.

Cumberland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 358.4 with a 95% confidence interval from 305.0 to 419.8 and 35 average annual cases over 2014-2018.
• CI*Rank⋔ : 113 (55, 128)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.0 to 0.6.

Manassas Park City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 353.5 with a 95% confidence interval from 289.8 to 427.3 and 22 average annual cases over 2014-2018.
• CI*Rank⋔ : 114 (42, 129)
• Recent Trend : The trend is stable because the trend is -12.0 with a 95% confidence interval from -40.7 to 30.5.

Pittsylvania County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 352.4 with a 95% confidence interval from 332.1 to 373.8 and 252 average annual cases over 2014-2018.
• CI*Rank⋔ : 115 (101, 126)
• Recent Trend : The trend is falling because the trend is -9.5 with a 95% confidence interval from -16.9 to -1.4.

Fairfax County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 349.3 with a 95% confidence interval from 343.2 to 355.5 and 2,676 average annual cases over 2014-2018.
• CI*Rank⋔ : 116 (110, 124)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.2 to -1.1.

Washington County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 348.0 with a 95% confidence interval from 329.0 to 368.0 and 277 average annual cases over 2014-2018.
• CI*Rank⋔ : 117 (103, 126)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.5 to -0.8.

Rappahannock County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 347.5 with a 95% confidence interval from 296.4 to 406.5 and 40 average annual cases over 2014-2018.
• CI*Rank⋔ : 118 (61, 129)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -4.5 to -1.2.

Arlington County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 346.8 with a 95% confidence interval from 332.7 to 361.4 and 490 average annual cases over 2014-2018.
• CI*Rank⋔ : 119 (107, 125)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.7 to -1.0.

Bland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 343.3 with a 95% confidence interval from 291.0 to 404.0 and 33 average annual cases over 2014-2018.
• CI*Rank⋔ : 120 (72, 129)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -4.1 to 1.8.

Patrick County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 343.0 with a 95% confidence interval from 310.0 to 379.2 and 94 average annual cases over 2014-2018.
• CI*Rank⋔ : 121 (94, 128)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.3 to 1.0.

Fairfax City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 342.2 with a 95% confidence interval from 304.5 to 383.7 and 65 average annual cases over 2014-2018.
• CI*Rank⋔ : 122 (92, 128)
• Recent Trend : The trend is stable because the trend is -14.6 with a 95% confidence interval from -27.8 to 1.1.

Carroll County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 341.9 with a 95% confidence interval from 316.5 to 369.0 and 155 average annual cases over 2014-2018.
• CI*Rank⋔ : 123 (100, 127)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.3 to 1.3.

Wise County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 333.0 with a 95% confidence interval from 309.4 to 358.1 and 158 average annual cases over 2014-2018.
• CI*Rank⋔ : 124 (107, 128)
• Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -5.3 to -1.6.

Dickenson County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 325.1 with a 95% confidence interval from 289.8 to 364.0 and 68 average annual cases over 2014-2018.
• CI*Rank⋔ : 125 (103, 129)
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.0 to -1.5.

Alexandria City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 323.5 with a 95% confidence interval from 306.9 to 340.8 and 309 average annual cases over 2014-2018.
• CI*Rank⋔ : 126 (115, 127)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.9 to -0.8.

Tazewell County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 296.2 with a 95% confidence interval from 275.7 to 318.1 and 172 average annual cases over 2014-2018.
• CI*Rank⋔ : 127 (121, 129)
• Recent Trend : The trend is falling because the trend is -4.7 with a 95% confidence interval from -6.6 to -2.7.

Smyth County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 287.2 with a 95% confidence interval from 264.0 to 312.0 and 125 average annual cases over 2014-2018.
• CI*Rank⋔ : 128 (122, 130)
• Recent Trend : The trend is falling because the trend is -20.6 with a 95% confidence interval from -33.7 to -5.0.

Buchanan County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 259.4 with a 95% confidence interval from 233.7 to 287.6 and 83 average annual cases over 2014-2018.
• CI*Rank⋔ : 129 (126, 133)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.3 to -1.0.

Lee County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 231.5 with a 95% confidence interval from 207.8 to 257.5 and 77 average annual cases over 2014-2018.
• CI*Rank⋔ : 130 (128, 133)
• Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -6.9 to -2.2.

Russell County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 230.9 with a 95% confidence interval from 208.9 to 254.8 and 90 average annual cases over 2014-2018.
• CI*Rank⋔ : 131 (128, 133)
• Recent Trend : The trend is falling because the trend is -9.0 with a 95% confidence interval from -12.7 to -5.1.

Scott County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 229.7 with a 95% confidence interval from 205.9 to 255.8 and 76 average annual cases over 2014-2018.
• CI*Rank⋔ : 132 (128, 133)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -7.0 to -1.1.

Bristol City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 218.6 with a 95% confidence interval from 190.2 to 250.3 and 48 average annual cases over 2014-2018.
• CI*Rank⋔ : 133 (129, 133)
• Recent Trend : The trend is falling because the trend is -10.1 with a 95% confidence interval from -15.1 to -4.7.

Notes:
Created by statecancerprofiles.cancer.gov on 08/17/2022 10:18 pm.

State Cancer Registries may provide more current or more local data.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2018 US Population Data File is used for SEER and NPCR incidence rates.
‡ Incidence data come from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

Rates and trends are computed using different standards for malignancy. For more information see malignant.html.

^ All Stages refers to any stage in the Surveillance, Epidemiology, and End Results (SEER) summary stage.
*** No Healthy People 2020 Objective for this cancer.
Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.


¹ Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2018) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2020 submission.
⁶ Source: National Program of Cancer Registries SEER*Stat Database (2001-2018) - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2020 submission).
⁸ Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modifed by NCI. The 1969-2018 US Population Data File is used with SEER November 2020 data.

Interpret Rankings provides insight into interpreting cancer incidence statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.

Data for United States does not include Puerto Rico.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.